Chronic kidney disease (CKD) is a growing public health problem, particularly in Chad, where its incidence is four times higher than in developed countries. This study aimed to assess the nutritional status of chronic hemodialysis patients and identify associated risk factors at the Renaissance University Hospital in N’Djamena, Chad. In this cross-sectional study, 17 patients underwent nutritional assessment using anthropometric measurements (BMI) and the Mini Nutritional Assessment Short-Form (MNA-SF). Hypertension and diabetes were the main causes of chronic kidney disease (CKD), accounting for 58.8% and 29.4% of cases, respectively. The average treatment duration was 10 years. Notably, 23.5% of patients experienced weight loss between 1 and 3 kg. According to the MNA-SF, 47% of patients were malnourished (score < 17), 41.2% were at risk of malnutrition (score 17 - 23.5), and 11.8% had a satisfactory nutritional status (score ≥ 24). Systematic nutritional monitoring is essential to prevent health deterioration in CKD patients. Dietary management represents a critical component of the treatment plan for hemodialysis patients.
References
[1]
ANAES (Agence Nationale d’Accréditation et d’Evaluation de la Santé) (2004) Argumentaire. Annales de Dermatologie et de Vénéréologie, 131, 680-756.
[2]
Benatta, N.F., Batouche, D.D., Sadaoui, L. and Berrachdi, W. (2017) Événements cardiovasculaires chez le patient atteint d’insuffisance rénale chronique. Néphrologie & Thérapeutique, 13, 403-404. https://doi.org/10.1016/j.nephro.2017.08.319
[3]
Ndiaye-Ndongo, N.D., Samba, O.M., Sylla, A., Thiam, M.H. and Diouf, B. (2015) La dépression chez les hémodialysés chroniques. MédecineD’Afrique Noir, 62, 603-608.
[4]
Jacquelinet, C. and Briançon, S. (2005) Le Réseau épidémiologie et information en néphrologie (Rein): Un registre national des traitements de suppléance de l’insuffisance rénale chronique. Bulletin ÉpidémiologiqueHebdomadaire, 37-38, 185-187.
[5]
El, M.R., Bahadi, A., Hamzi, M.A., Kabbaj, D. and Benyahia, M. (2013) Profil des insuffisants rénaux chroniques diabétiques à l’initiation de l’hémodialyse au service de néphrologie et dialyse de l’hôpital militaire de Rabat, Maroc. Pan African Medical Journal, 15, Article 124. https://doi.org/10.11604/pamj.2013.15.124.2252
[6]
Kidney Disease Outcome Quality Initiative (2002) National Kidney Foundation KDOQI Chronic Kidney Disease: Evaluation, Classification, and Stratification Kidney Disease Outcome Quality Initiative. American Journal of Kidney Diseases, 39, S1-S266.
[7]
Fouque, D. and Guebre-Egziabher, F. (2006) Quelles nouveautés en nutrition en 2006? In Actualitésnéphrologiques Jean Hamburger, Lavoisier, 209-221.
[8]
Kara, L., Abbou, A., Grari, R., Regagba, D. and Benmansour, M. (2018) Hypertrophie ventriculaire gauche au cours de l’insuffisance rénale chronique: Prévalence et facteurs de risque. Néphrologie & Thérapeutique, 14, 338. https://doi.org/10.1016/j.nephro.2018.07.198
[9]
Kutner, N.G., Zhang, R., Barnhart, H. and Collins, A.J. (2005) Health Status and Quality of Life Reported by Incident Patients after 1 Year on Haemodialysis or Peritoneal Dialysis. Nephrology Dialysis Transplantation, 20, 2159-2167. https://doi.org/10.1093/ndt/gfh973
[10]
Amoako, Y.A., Laryea, D.O., Bedu-Addo, G., Andoh, H. and Awuku, Y.A. (2014) Clinical and Demographic Characteristics of Chronic Kidney Disease Patients in a Tertiary Facility in Ghana. Pan African Medical Journal, 18, Article 274. https://doi.org/10.11604/pamj.2014.18.274.4192
[11]
Naicker, S. (2003) End-Stage Renal Disease in Sub-Saharan and South Africa. Kidney International, 63, S119-S122. https://doi.org/10.1046/j.1523-1755.63.s83.25.x
[12]
Noto-Kadou-Kaza, B., Sabi, K.A., Imangue, G., Al-Torayhi, M.H., Amekoudi, E.Y., Tsevi, C.M., et al. (2014) Kidney Transplantation in Morocco: Are Hemodialysis Caretakers Well Informed? The Pan African Medical Journal, 19, Article 365.
[13]
Shitu, A.O., Chijioke, A., Biliaminu, S.A., Makusidi, A.M., Sanni, M.A., Abdul-Rahman, M.B. and Abdul-Azeez, I.M. (2013) Hematological Profile of Patients with Chronic Kidney Disease in Nigeria. Journal of Nephrology and Renal transplantation, 5, 2-10.
[14]
Tsevi, M.Y., Salifou, S., Sabi, A.K., Noto-Kadou-Kaza, B., Amekoudi, E.Y. and Dassa, S.K. (2016) Hémodialyse chronique et dépression au Centre Hospitalier Universitaire Sylvanus Olympio de Lomé (Togo). Pan African Medical Journal, 25, Article 26. https://doi.org/10.11604/pamj.2016.25.26.9883
[15]
Ramilitiana, B., Rakotoarivony, S.T., Rabenjanahary, T., Razafimahefa, S.H., Soan-iainamampionona, A.A. and Randriamarotia, W. (2010) Profil épidémio-clinique et devenir des insuffisants rénaux chroniques bénéficiaires d’hémodialyse au CHU HJRB Antananarivo Madagascar. Revue d’Anesthésie-Réanimation et de Médecined’Urgence, 2, 11-14.
[16]
Seck, S.M., Doupa, D., Guéye, L. and Dia, C.A. (2014) Epidemiology of Chronic Kidney Disease in Northern Region of Senegal: A Community-Based Study in 2012. Pan African Medical Journal, 18, Article 307. https://doi.org/10.11604/pamj.2014.18.307.3636